{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T08:03:20Z","timestamp":1773475400867,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T00:00:00Z","timestamp":1669680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["AP1116640"],"award-info":[{"award-number":["AP1116640"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Combined with perinatal mortality review, neonatal near\u2010miss (NNM) audit has the potential to inform strategies to better prevent adverse perinatal outcomes. Nonetheless, there is lack of standardised definitions of NNM and limited evidence of implementation of NNM audits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To describe definitions of NNM and assess current approaches and attitudes toward perinatal mortality and morbidity audit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Online survey from December 2021 to February 2022, with a mix of Likert scales, polar, pool, multi\u2010choice, and open\u2010ended questions, disseminated through national and international organisations to perinatal healthcare workers from high\u2010income countries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and twenty participants came from Australia (<jats:italic>n<\/jats:italic>\u00a0=\u00a086), New Zealand (<jats:italic>n<\/jats:italic>\u00a0=\u00a018), Canada (<jats:italic>n<\/jats:italic>\u00a0=\u00a07), USA (<jats:italic>n<\/jats:italic>\u00a0=\u00a04), Netherlands (<jats:italic>n<\/jats:italic>\u00a0=\u00a02), other countries (<jats:italic>n<\/jats:italic>\u00a0=\u00a03). Neonatologists (35%), midwives (21.7%), obstetricians (12.5%), neonatal nurse practitioners (11.7%) and others (23.3%) responded. Most respondents thought the main characteristics to define NNM were birth asphyxia needing therapeutic hypothermia (68.3%), unexpected resuscitation at birth (67.5%), need for intubation\/chest compression\/adrenaline (65.0%) and metabolic acidosis at birth (60.0%). There were 97.5% of participants who considered NNM important for identifying cases for perinatal morbidity audits. However, only 10.0% of their institutions used a NNM definition. Overall, 98.4% of participants considered perinatal mortality and morbidity audits important to prevent adverse outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Neonatal near\u2010miss audit is viewed as a valuable tool to reduce adverse neonatal outcomes. There was reasonable consensus that NNM encompassed evidence of birth asphyxia and\/or advanced neonatal resuscitation. Data from this international survey identifies a starting point for a consensus definition of NNM, which can be used for perinatal audits to identify opportunities for improvement.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13634","type":"journal-article","created":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T07:23:52Z","timestamp":1669793032000},"page":"352-359","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Current approach and attitudes toward neonatal near\u2010miss and perinatal audits: An exploratory international survey"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7412-6624","authenticated-orcid":false,"given":"Poliana","family":"de Barros Medeiros","sequence":"first","affiliation":[{"name":"Centre of Research Excellence in Stillbirth Mater Research Institute, The University of Queensland  Brisbane Queensland Australia"},{"name":"Department of Paediatrics and Neonatology Sunshine Coast University Hospital  Sunshine Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8249-9516","authenticated-orcid":false,"given":"Helen","family":"Liley","sequence":"additional","affiliation":[{"name":"Mater Research Institute The University of Queensland  Brisbane Queensland Australia"},{"name":"Department of Neonatology Mater Mothers' Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4513-1349","authenticated-orcid":false,"given":"Christine","family":"Andrews","sequence":"additional","affiliation":[{"name":"Centre of Research Excellence in Stillbirth Mater Research Institute, The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2328-1066","authenticated-orcid":false,"given":"Adrienne","family":"Gordon","sequence":"additional","affiliation":[{"name":"Centre of Research Excellence in Stillbirth Mater Research Institute, The University of Queensland  Brisbane Queensland Australia"},{"name":"University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander E.P.","family":"Heazell","sequence":"additional","affiliation":[{"name":"Maternal and Fetal Health Research Centre, School of Medical Sciences, Faculty of Biology, Medicine and Health University of Manchester  Manchester UK"},{"name":"Department of Obstetrics, Saint Mary's Hospital Manchester University NHS Foundation Trust  Manchester UK"},{"name":"International Stillbirth Alliance  Millburn New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison L.","family":"Kent","sequence":"additional","affiliation":[{"name":"Department of Paediatrics University of Rochester School of Medicine and Dentistry  Rochester New York USA"},{"name":"Australian National University, College of Health and Medicine  Canberra Australian Capital Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susannah H.","family":"Leisher","sequence":"additional","affiliation":[{"name":"Centre of Research Excellence in Stillbirth Mater Research Institute, The University of Queensland  Brisbane Queensland Australia"},{"name":"International Stillbirth Alliance  Millburn New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8114-7677","authenticated-orcid":false,"given":"Vicki","family":"Flenady","sequence":"additional","affiliation":[{"name":"Centre of Research Excellence in Stillbirth Mater Research Institute, The University of Queensland  Brisbane Queensland Australia"},{"name":"International Stillbirth Alliance  Millburn New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,11,29]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01020-X"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00818-1"},{"key":"e_1_2_8_4_1","unstructured":"WHO.Making every Baby Count: Audit and Review of Stillbirths and Neonatal Deaths. 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